HomeMy WebLinkAboutH2024-0446 - PermitsCity of Newport Beach
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
c Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Mechanical Permit
Plan Check No :
Work Class : Other
Permit Status: Issued
Issued Date : 07/25/2024
Inspection Area : 2
H2O24-0446
D
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUA CE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS N ALL AREAS
Job Address : 14 KAMALII CT Legal Desc : N TR 7817 BLK LOT 4 UN 217 TR 7817 LOT 4 UNIT 217
Description: MECH INSTALL A/C UNIT AT SIDE **TAMPER RESISTANT CAPS REQUIRED**
Owner: BRYAN UECKER
Address: 14 KAMALII CT NEWPORT BEACH, CA 92663
Phone :
Applicant: LUKE VUJNOVICH
Address : 311 COLLEEN PL COSTA MESA, CA 92627
Phone: (949)345-5098
Owner/Builder :
Address
Phone:
Code Edition : 2022
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone : X
Use Zone: PC - SNNewport Crest - UP1585
PROCESSED BY: Ns
SPECIAL CONDITIONS:
Contractor :
ABC HEATING AND A/C
Address :
306 COLLEN PL COSTA MESA, CA 92627
Phone:
(949)756-0064
Con State Lic
: 940181
Lic Expire :
11/30/2025
Bus Lic:
BT30043258
Bus Lic Expire:03/31/2025
Workers' Compensation Insurance
Carrier :
STATE FARM FIRE AND CASUALTY COMPANY
Policy No:
92KDE0536
W. C. Expire:
9/24/2024
Fire Hazard Zone : NO Manufacturer : AC PRO
Model# : AULD60W2/A-D(U)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
re permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole Compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044.
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort.. builds or improves the property, promded that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
nproved for the purpose of sale).
11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
ppy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 1 am exempt from licensure under the Contractors' State License taw for the following reason:
y my signature below I acknowletlge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I Cannot legally
all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
lignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Profess qns ar)Q my license is in full fume
end effect. License Class License No Date Z7r Zq Contractor Signature '7 /�i�
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS 0000,000j, W ADDITION TO THE
AST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th1
erfonnance of the work for which this permit is issued. Policy No.
have and will maintain workers' Compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers
rance Carrier and policy number are:
Pohcv Number
of Agent
Date
J certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and al
iat. if I should become subject }p the rke Impensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lignalure of Applicant `7s/"' 7s Date_ T
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
ender's Name Lenders Address
ly my signature below. I Certify to each of the following:
I am the property owner or authorized to act On the property owner's behalf.
I have read this application and the information I have provided is Correct.
1 agree to co Tp'y with all applicable city and county ordinances and state laws relating to building construction. ' /
I authorize � p-Psentatives of this city or County to een�,ter t�pe abov, -identi d property for inspection purposes. / try, n OV7 �`1 // Z S
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I ACTION
DATE
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDFRAL FOR OFFICE USE ONLY
REGULATIONS PART 61 Of TITLE 40 AND AQMD RULE
1403
_
PERMIT £x "ED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
LIEPA
PERMIT EXT&JO�D
QMD
_.
OASBE51FOS NOTIFICATION 15 NOT APPLICABLE TO
�� PROPOSED DEMOLITION
—
PERMIT FINAL
LER,7FICATE OF
1•2�Ly
OCCJPANCY ISSUED
SIGNATURE: